MS. ALISHA FULLER


Address: 9718 S Halsted St, Chicago, IL 60628-1007
Phone: 7732334100

MS. ALISHA FULLER (NPI# 1124653613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124653613
Entity Type Individual
Full Name MS. ALISHA FULLER
Credential LPC
Practice Address 9718 S Halsted St
Chicago
IL 60628-1007
Practice Telephone 7732334100
Enumeration Date 2020-03-05
Last Update Date 2020-03-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
178014325 IL Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
9144 S Laflin St, Chicago, IL 606205113 7734490243

Other Providers ALISHA FULLER

NPI Name Taxonomy Address Enumeration
1083616544 Alisha M Fuller Nurse Practitioner 390 Crystal Run Rd, Suite 102, Middletown, NY 10941 2005-08-15

Office Location

Street Address 9718 S HALSTED ST
City CHICAGO
State IL
Zip Code 60628-1007

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619939212 Victor L Thomas Internal Medicine 9718 S Halsted St, Chicago, IL 60628-1007 2006-04-06
1134727811 Seunghee Song Nurse Practitioner 9718 S Halsted St, Chicago, IL 60628-1007 2020-10-14
1811524713 Rachel Lauber Family Medicine 9718 S Halsted St, Chicago, IL 60628-1007 2020-03-23
1093353385 Monica Angelina Batchelor Nurse Practitioner 9718 S Halsted St, Chicago, IL 60628-1007 2019-12-17
1366927360 Marian Nwamaka Chukwumah Nurse Practitioner 9718 S Halsted St, Chicago, IL 60628-1007 2018-09-26
1083111777 Myra Sikwata Nurse Practitioner 9718 S Halsted St, Chicago, IL 60628 2018-04-09
1427558261 Tenisha Ridgeway Counselor 9718 S Halsted St, Chicago, IL 60628-1007 2018-02-19
1770019861 Surecare Discount Inc Pharmacy 9718 S Halsted St, Chicago, IL 60628-1007 2017-05-10
1659743979 Dannon Rae Martin Physician Assistant 9718 S Halsted St, Chicago, IL 60628-1007 2015-10-26
1649641747 Dorothy Mato Akaeze Nurse Practitioner 9718 S Halsted St, Chicago, IL 60628-1007 2015-10-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750857942 Myrna Pledger Counselor 259 W. 104th Pl., Chicago, IL 60628 2018-10-16
1073097184 4every1 Lab Inc. Clinical Medical Laboratory 10723 S Halsted St, Chicago, IL 60628 2018-09-24
1922594613 Northwest Adult Wellness Center LLC Clinic/Center 235 W 95th Suite 3, Chicago, IL 60628 2018-07-05
1285152801 Brittany Bellamy Developmental Therapist 10333 S Prairie, Chicago, IL 60628 2017-09-04
1598293839 Denise Marie Mercherson Social Worker 9561 S. Union, Chicago, IL 60628 2017-05-31
1659821221 Tca Health Care Dentist 1030 E. 130th St, Chicago, IL 60628 2016-10-07
1528432697 Global Dialysis, LLC Registered Nurse 9746 South Harvard Ave., Chicago, IL 60628 2015-11-30
1871966382 Kirby Rehabilitation, Inc Clinic/Center 723 W. 111th St, Chicago, IL 60628 2015-11-05
1851638605 Marketa Marvanova Pharmacist 9501 S. King Drive, Douglas Hall 203-23, Chicago State University College of Pharmacy, Chicago, IL 60628 2013-01-14
1841567377 Emma Goodman Pharmacist 10620 S. Halsted St, Chicago, IL 60628 2011-11-29
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609477579 Shantrell Patrice Sutton Counselor 5042 W Erie St, Chicago, IL 60644-1604 2020-11-05
1073114591 Alternative Schools Network Counselor 1807 W Sunnyside Ave, Chicago, IL 60640-5898 2020-11-02
1992306518 Gravity and Grace Psychotherapy, Pllc Counselor 1305 S Michigan Ave Apt 602, Chicago, IL 60605-3398 2020-11-02
1811597263 April Wilburne Counselor 804 E 54th St Apt 3, Chicago, IL 60615-4972 2020-10-27
1043810393 Pamela Kranyak Counselor 30 N Michigan Ave Ste 925, Chicago, IL 60602-3463 2020-10-27
1003413378 Erika Aguirre Counselor 5040 S Keating Ave., Chicago, IL 60632-4919 2020-10-08
1497361661 Michael V Biederman Counselor 4254 N Mozart St Apt 2s, Chicago, IL 60618-1784 2020-09-22
1013523984 Antionette Fisher Counselor 5703 S Peoria St, Chicago, IL 60621-2262 2020-09-16
1114532561 Nefesh Counseling, LLC Counselor 3320 W Foster Ave # 124, Chicago, IL 60625-4813 2020-09-12
1114531043 Katherine E Evans Counselor 1528 W Jonquil Ter Unit 2c, Chicago, IL 60626-5932 2020-09-08
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Competitor

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City CHICAGO
Zip Code 60628

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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